C24651009_Bid_Forms_for_Completion.pdf

Contract Number: C24651009 Western Snowy Plover Monitoring and Reporting

Bid Form Checklist

REQUIRED DOCUMENTATION

FORM NUMBER & TITLE

# PAGES

☐ Exhibit B, Attachment I, Cost Proposal (signed) 1

☐ Statement of Work Attach

Certificate of Insurance (Acord 25) – Instructions/Exhibit D

* Include general liability, motor vehicle liability, workers compensation (if applicable), endorsement pages for both general and auto, waiver of subrogation for workers compensation (if applicable), and pollution liability.

Attach

Corporation Status Print-Out (Search | California Secretary of State) or DE 542 Independent Contractor Form

☐ DGS OLS 04 California Civil Right Laws Attachment 1

☐ STD 1000 General AI Reporting and Factsheet 3

☐ GSPD-05-105 Bidder Declaration 2

☐ DPR 87 Commercially Useful Function 1

☐ Contractor Certification Clauses (04/2017) 4

☐ STD 204 Payee Data Record 2

☐ STD 205 Payee Data Record Supplement 2

☐ DPR 88 Payee Data Record Supplement Goods vs. Services 2

IF APPLICABLE DOCUMENTATION

FORM NUMBER & TITLE

# PAGES

☐ Verification of Does Business As 1

☐ DPR 85 Small Business Preference 1

☐ SB/DVBE Verification - The State of California Certifications 1

☐ DPR 486 Bidder’s DVBE Participation *requirement waived 1

☐ DGS PD 843 Disabled Veteran Business Enterprise Declarations 1

☐ DPR 74 DARFUR Contracting Act Certification 1 https://bizfileonline.sos.ca.gov/search/business https://edd.ca.gov/siteassets/files/pdf_pub_ctr/de542.pdf https://www.dgs.ca.gov/-/media/Divisions/OLS/Forms/CALIFORNIA-CIVIL-RIGHTS-LAWS-ATTACHMENT.pdf https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std1000.pdf https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/gspd05-105.pdf https://www.dgs.ca.gov/-/media/Divisions/OLS/Resources/CCC-042017.pdf?la=en&hash=4DE3E4DC414511AE378794200BA43EBF91C758EE https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std204.pdf https://www.documents.dgs.ca.gov/dgs/fmc/pdf/std205.pdf https://caleprocure.ca.gov/pages/PublicSearch/supplier-search.aspx https://www.documents.dgs.ca.gov/dgs/fmc/gs/pd/pd_843.pdf

Contractor's Name: ____ ___________ _ Agreement Number: C24651009

Exhibit B, Attachment I

SERVICE CONTRACTS BID FORM

The contractor hereby proposes to furnish all labor, tools, and equipment necessary to survey for western snowy plovers and their nests and provide management recommendations as directed by the State's representative within units of the Russian River Sector for the following stipulated rate:

Solely for bid comparison purposes, the following hours are assigned. The assigned hours are being given solely as a basis for the preparation and comparison of bids, and the State does not, expressly or by implication, agree that the actual amount of work will correspond therewith. Annual work may not exceed Twenty Thousand Dollars and Zero Cents ($20,000) and may be less depending on conditions encountered during breeding season.

The maximum payable amount of this contract is not to exceed Sixty Thousand Dollars and

Zero Cents ($60,000.00). The contractor will be compensated at the unit rate on this bid form.

All material and equipment costs are factored into the below crew person hourly rate and are not billable. Travel time to and from the site and all expenses related to travel are not billable.

Unit Unit Rate Hourly Unit Cost Total

Time Frame (Ea) (Hrs.) ($) ($) FY 24/25 02/01/25 - 06/30/25 1 crew person X 170 X

FY 25/26 07/01/25 - 06/30/26 1 crew person X 230 X

FY 26/27 07/01/26 - 06/30/27 1 crew person X 230 X

FY 27/28 07/01/27 - 01/31/28 1 crew person X 200 X

I GRAND TOTAL

Total Bid Written in Words:

In case of discrepancy between the unit rate and the total set for the crew person, the hourly rate shall prevail; however, if the amount set forth as an hourly rate is ambiguous, unintelligible or uncertain for any cause, or is omitted, the amount set forth in the "Total" column shall be divided by the assigned hours for the crew person and the price thus obtained shall be the hourly rate.

Contractor Signature: ________ ____ ____ Date: _________ _

Print Contractor Name and Title: _______ ____ _ ____________ _

Company Name: _______________ __ _ ____________ _

Physical Address: _ ____ _ _________________ _______ _

Mailing Address: _ _____________ _________ __ _____ _

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EDD Development

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REPORT OF

INDEPENDENT CONTRACTOR(S)

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State of California See detailed instructions on reverse side. Please type or print.

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START DATE OF CONTRACT AMOUNT OF CONTRACT CONTRACT EXPIRATION DATE CHECK HER E IF CONTRACT IS ONGOING

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MMDDYY MMDDYY

MAIL TO: Employment Development Department• PO Box 997350, MIC 96 • Sacramento, CA 95899-7350 or Fax to 916-319-4410

® DE 542 Rev. 9 (6-17) (INTERNET) Page 1 of2

11/12/2024 68-030-3603

Paige Casalegno

12301 N Highway 1, Box 1 707 937-5804

CA 95460

C24651009

1 2

2 2

C24651009

Department of Parks and Recreation Sonoma-Mendocino Coast District

12301 N Highway 1, Box 1 (707) 937-2953 (707) 937-5804

Mendocino CA 95460 Mendocino.Accounting@parks.ca.gov

Bid Forms Packet